Global health journal (Amsterdam, Netherlands)最新文献

{"title":"Intelligent medicine: leading the new development of human health","authors":"Songxiang Liu , Zhewei Ye","doi":"10.1016/j.glohj.2021.12.001","DOIUrl":"https://doi.org/10.1016/j.glohj.2021.12.001","url":null,"abstract":"","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644721000968/pdfft?md5=83fd96b69635e77d96ee5d931d725f22&pid=1-s2.0-S2414644721000968-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138424565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing a breast cancer center in Herat, Afghanistan: an implementation study","authors":"Aziz-ur-Rahman Niazi ,&nbsp;Aziz Ahmad Jami ,&nbsp;Ahmad Zia Shams ,&nbsp;Ahmad Saeed Mahmoodi ,&nbsp;Eckart Krapfl ,&nbsp;Stephan Falk ,&nbsp;Alexander Buia ,&nbsp;Ernst Hanisch","doi":"10.1016/j.glohj.2021.11.001","DOIUrl":"10.1016/j.glohj.2021.11.001","url":null,"abstract":"<div><h3>Objective</h3><p>Breast cancer is the most common cancer in women, causing significant mortality in the world, which contributed 11.7% to the overall cancer-related mortality in Afghanistan. In 2018, 3 062 new breast cancer cases were reported accounting for 29.7% of all cancers in women in the country. However, a comprehensive diagnostic and therapeutic system is lacking in Afghanistan. In this paper, we reported the implementation of a project aiming to establish a comprehensive breast cancer center in Herat province of Afghanistan.</p></div><div><h3>Methods</h3><p>From July 2017, a two-year-program initiated at Kimia Hospital in Herat. This first free diagnostic and therapeutic breast cancer project planned by the Afghanistan Surgeons Society – West and the Verein für Afghanistan-Förderung e. V., as well supported by three international foundations. The target populations of this project were women presenting with breast problems at Kimia Hospital in Herat and healthcare staff involved in breast cancer diagnosis and management.</p></div><div><h3>Results</h3><p>A group of six medical personnel chosen to represent the breast cancer core team for breast cancer diagnosis and management were trained in India. These caregivers established the breast cancer service and tumor board. During a period of 20 months, a total of 632 women with breast problems presented to Kimia Hospital of whom 44 (7.0%) were diagnosed with breast cancer. Diagnosis was established by a physical examination, ultrasonography, mammography, biopsy and histopathology. Treatment included surgery, radiotherapy and chemotherapy. Twelve seminars for 512 healthcare workers, 1 000 brochures and a movie were prepared for awareness-raising actions. For continuation of this project, potential resource providers were identified. A database was developed to record project findings.</p></div><div><h3>Conclusion</h3><p>Implementation of this comprehensive breast cancer project resulted in significant achievements in healthcare staff capacity building, diagnosis and management of breast cancer patients in Herat province. Data obtained in this project offer Afghan government, public health authorities, and the community the opportunity of improving diagnosis and treatment of breast cancer in Afghanistan.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644721000877/pdfft?md5=9a94b75277a2c35d23878169e04d2608&pid=1-s2.0-S2414644721000877-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49551953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Big tech, big data and the new world of digital health","authors":"Jane Thomason","doi":"10.1016/j.glohj.2021.11.003","DOIUrl":"10.1016/j.glohj.2021.11.003","url":null,"abstract":"<div><p>This commentary shows the exponential growth of digital health and the accompanying explosion of health data. It discusses three major shifts in the global health landscape. The first will be the move of the big tech companies into healthcare, the second will be the monetization of consumer data and the creation of health data marketplaces; and the third will be the growth of Asia as a leader in digital health. Big tech already has the advantage of a massive consumer base, data and analytics which enable them to understand consumers; and complementary technologies, like wearables, that will drive the consumerization of healthcare. This expansion can happen quickly and already is creating challenges for regulators as they try to catch up. The vast volumes of data and the ability of technology such as blockchain to enable data owners to monetize their data, will lead to the development of health data marketplaces, which can connect and monetize data for data owners and make it available for scientific discovery. The developments in self-sovereign identity, will make it possible for individuals to monetize their health data in the future. Finally, we see the emergence of Asia as a powerhouse for the digital health of the future, with vast populations, mobile technology and increasing adoption of wearable devices. Consumer focused health care driven by data will change the institutional models of the past.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644721000890/pdfft?md5=f56221d27cf3d138e683ed15e66744e2&pid=1-s2.0-S2414644721000890-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47261403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The quality of escalator signage for public safety in Malaysia: an observational study","authors":"Chii-Chii Chew ,&nbsp;Chee-Tao Chang ,&nbsp;Xin-Jie Lim ,&nbsp;Hasni-Adha Ibrahim ,&nbsp;Hamiazwa Azmi ,&nbsp;Nur-Ilyana Wahabi ,&nbsp;Nur-Shuhaida Hamdan ,&nbsp;Nurul-Atiqah Nazan ,&nbsp;Nur-Haliana Karim ,&nbsp;Nurfarahdila-Ahmad Malawi ,&nbsp;Ying-Ling Oon ,&nbsp;Norshazila-Julia MS ,&nbsp;Amar-Singh HSS","doi":"10.1016/j.glohj.2021.10.002","DOIUrl":"10.1016/j.glohj.2021.10.002","url":null,"abstract":"<div><h3>Objective</h3><p>Escalator signage could be playing a vital role to alert users for safe use of escalators. This study aimed to evaluate the availability, standardization, and content of safety information on escalator signage in the shopping malls.</p></div><div><h3>Methods</h3><p>An observational study was conducted from November 2017 to February 2018 to assess the availability, standardization of safety information among the signage inside the shopping mall, and the content of safety information for public safety in Malaysia. A checklist was developed by adapting escalator safety guidelines from seven countries and regions including Malaysia. Data collectors identified from the selected states were required to capture three photographs at different angles of the escalator signage for each ascending and descending directions at each entrance of the mall. Descriptive analysis was performed; each criterion was presented in frequency and percentage.</p></div><div><h3>Results</h3><p>A total of 268 escalators from 84 shopping malls in 9 states of Malaysia were assessed. Two operating escalators were not equipped with signage. More than one-fifth (23.0%) of the signage was not standardized within the mall. The majority of safety information was displayed in the form of a pictogram, a minority of signage displayed information in both pictogram and text format: “children must hold hand” (12.7%) and “be careful of long clothing” (10.8%), respectively. Nevertheless, “toddlers should be carried” (8.6%) and “take extra care with rubber shoes/tied shoes/laces” (30.2%) were found absent in most of the signage.</p></div><div><h3>Conclusion</h3><p>Escalator signage was present in almost all of the escalators observed. However, non-standardization of the signage of escalators should warrant the attention of relevant authorities to revise the safety guidelines and improve the quality of escalator.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644721000865/pdfft?md5=24f4c65201a60d50f757a91bfa709b28&pid=1-s2.0-S2414644721000865-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48272833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sensors and healthcare 5.0: transformative shift in virtual care through emerging digital health technologies","authors":"Elliot Mbunge ,&nbsp;Benhildah Muchemwa ,&nbsp;Sipho'esihle Jiyane ,&nbsp;John Batani","doi":"10.1016/j.glohj.2021.11.008","DOIUrl":"10.1016/j.glohj.2021.11.008","url":null,"abstract":"<div><p>Emerging digital technologies continues to evolve posing unprecedented opportunities in health systems globally to improve healthcare services delivery. There has been significant progress in healthcare. However, the lack of emotive recognition coupled with a dearth of personalized and pervasive health applications and emotive smart devices calls for the integration of intelligent sensors health systems through emerging technologies. Although there has been significant progress in smart and connected health care, more research innovation, dissemination and technologies are needed to unbundle new opportunities and move towards healthcare 5.0. Healthcare is at the dawn of a paradigm change to reach the new era of smart disease control and detection, virtual care, smart health management, smart monitoring, and decision-making. Therefore, this study discusses the roles and capacities of sensors, their capabilities and other emerging technologies such as nanotechnology, 5 G technologies, drone technology, blockchain, robotics, big data, internet of things, artificial intelligence, and cloud computing. Healthcare 5.0 provides healthcare services including patient remote monitoring, tracking and virtual clinics, emotive telemedicine, ambient assisted living, smart self-management, wellness monitoring and control, smart treatment reminders, compliance and adherence, and personalized and connected health care. However, building resilience and robust healthcare 5.0 is not immune to challenges. Organizational challenges, technological and infrastructural barriers, lack of legal and regulatory frameworks and e-health policies, individual perceptions, misalignment with hospitals’ strategy, lack of funding, religious and cultural barriers are identified as potential barriers to the successful implementation of healthcare 5.0. Therefore, there is a need for building resilient technology-driven healthcare systems. To achieve this, there is a need for expanding technological infrastructure, provision of budgetary support based on sustainable business models, develop appropriate legal and e-health policies, standardization and synchronization of protocols, improving stakeholders’ engagement and involvement and establishment of private and public partnerships and investments.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644721000932/pdfft?md5=81543e5444c87ed3ba8792f6b24c8141&pid=1-s2.0-S2414644721000932-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46839926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of three dimensional printing in orthopedics","authors":"Lalit Kumar ,&nbsp;Abid Haleem ,&nbsp;Mohd. Javaid","doi":"10.1016/j.glohj.2021.11.009","DOIUrl":"10.1016/j.glohj.2021.11.009","url":null,"abstract":"<div><p>The primary objective of this article is to explore effects of latest development in the area of three dimensional (3D) printing &amp; to assess its abilities, and further undertake helpful reporting. Here the focus is to assess advantages of 3D printing in orthopedics and analyze how 3D printed models help solve complex 3D orthopedics distortions. This study identified that 3D models manufactured by 3D printing models reduce medical parts development cost and surgical planning time. Integrating 3D printing with orthopaedics helps in understanding the conditions of problems and achieving the operation successfully. This technology can enable doctors/surgeons to design, produce, recreate and plan operations more accurately, carefully, and economically. 3D models can assist specialists with a visual comprehension of the patient-particular pathology and life structures. Innovation in 3D printing initiated a scaffold for the virtual outline and execution of medical procedures. This research proposes the utilisation of 3D printers as an elective procedure for the fabrication of parts. It empowers surgeons/patients for better training, education and research. In the future, there is a foreseeable expansion of additive manufacturing in orthopedics.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644721000956/pdfft?md5=a4f1bdfdda34b91436eb482cfef96176&pid=1-s2.0-S2414644721000956-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43957715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transition of HIV prevention in three Southeast Asian countries: challenges and responses to the withdrawal of the Global Fund funding","authors":"Xuyuehe Ren ,&nbsp;Junfang Xu ,&nbsp;Feng Cheng","doi":"10.1016/j.glohj.2021.10.001","DOIUrl":"10.1016/j.glohj.2021.10.001","url":null,"abstract":"<div><p>The Global Fund has long been the largest international assistance in human immunodeficiency virus (HIV) responses for three Southeast Asian countries, including Myanmar, Laos, and Vietnam. However, it recently decided to reduce or withdraw its funding from countries not yet going through donor phase-out, aiming to make these countries respond with their own resources. In examining whether these three countries are well-prepared to donor transition, we uncover potential challenges that will appear in their healthcare systems and especially in the prevention and control for vulnerable populations. By reviewing China's successful experience in donor transition, we propose recommendations for these pre-transition countries, in terms of program operation, budget allocation, and social stigmatization.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644721000853/pdfft?md5=0fc9a29346d82af6f44b11ae360af033&pid=1-s2.0-S2414644721000853-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41738047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational health protection for health workers during the coronavirus disease 2019 (COVID-19) pandemic: 6P-approach in China","authors":"Min Zhang ,&nbsp;Rokho Kim","doi":"10.1016/j.glohj.2021.11.007","DOIUrl":"10.1016/j.glohj.2021.11.007","url":null,"abstract":"<div><p>Health workers (HW) are on the frontline fighting against the COVID-19 pandemic, they are exposed to multiple occupational hazards. This article analyzed the comprehensive measures of protecting HWs during the COVID-19 response in China. Occupational health protection of HWs was one of the key strategies of the public health measures adopted against the COVID-19 outbreak from the earliest stage in China. This prioritization of HWs health protection was based on the technical and policy guidance of WHO and International Labor Organization as well as the experiences from previous outbreaks in China. The comprehensive measures in China can be summarized as ‘6P-approach’: public health emergency response, prompt learning from lessons, proactive measures of occupational health, precaution strategies against occupational hazards, personal protective equipment and medical devices supply, and professional networking. Through this 6P-approach, China was able to minimize the incidence of COVID-19 infection among HWs, while successfully containing the outbreak during the first quarter of 2020. Although the COVID-19 vaccines have been rolled out, however, the COVID-19 pandemic is still under rapidly evolving situation. Experiences from China may provide other countries with an example of prioritizing and incorporating occupational health protection of HWs in their public health measures responding to the COVID-19 pandemic.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8613932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39679887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A combination of digital design and three-dimensional printing to assist treatment of thoracolumbar compression fractures using percutaneous kyphoplasty","authors":"Hui Lu ,&nbsp;Daixiang Jiang ,&nbsp;Qimei Wu ,&nbsp;Rong Liu","doi":"10.1016/j.glohj.2021.11.004","DOIUrl":"10.1016/j.glohj.2021.11.004","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the clinical efficacy of the preoperative digital design combined with three-dimensional (3D) printing models to assist percutaneous kyphoplasty (PKP) treatment for thoracolumbar compression fractures.</p></div><div><h3>Methods</h3><p>From January 2018 to August 2020, we obtained data of 99 patients diagnosed thoracolumbar compression fractures. These patients were divided into control group (<em>n</em> = 50) underwent traditional PKP surgery, and observation group (<em>n</em> = 49) underwent preoperative digital design combined with 3D printing model assisted PKP treatment. The clinical efficacy was evaluated with five parameters, including operation time, number of intraoperative radiographs, visual analogue scale (VAS) score, Cobb Angle change, and high compression rate of injured vertebrae.</p></div><div><h3>Results</h3><p>There were statistically significant differences of operation time and number of intraoperative radiographs between the two groups (<em>P</em> &lt; 0.05). For VAS score, Cobb Angle change and vertebral height compression rate, all of these three parameters were significantly improved when the patients accepted surgery treatment in two groups (<em>P</em> &lt; 0.05). However, there were no significant differences between control group and observation group for these three parameters either before or after surgery (<em>P</em> &gt; 0.05).</p></div><div><h3>Conclusions</h3><p>Through the design of preoperative surgical guide plate and the application of 3D printing model to guide the operation, the precise design of preoperative surgical puncture site and puncture Angle of the injured vertebra was realized, the number of intraoperative radiographs was reduced, the operation time was shortened and the operation efficiency was improved.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644721000907/pdfft?md5=3a72d5ffb7de90d3d26e1dc25f69edf7&pid=1-s2.0-S2414644721000907-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49504546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expanding telemedicine to reduce the burden on the healthcare systems and poverty in Africa for a post-coronavirus disease 2019 (COVID-19) pandemic reformation","authors":"Tosin Yinka Akintunde ,&nbsp;Oluseye David Akintunde ,&nbsp;Taha Hussein Musa ,&nbsp;Muhideen Sayibu ,&nbsp;Angwi Enow Tassang ,&nbsp;Linda M. Reed ,&nbsp;Shaojun Chen","doi":"10.1016/j.glohj.2021.07.006","DOIUrl":"10.1016/j.glohj.2021.07.006","url":null,"abstract":"<div><p>The coronavirus disease 2019 (COVID-19) global public health emergency, has exposed the fragility of health systems. Access to healthcare became a scarce commodity as healthcare providers and resource-poor populations became victims of the novel corona virus. Therefore, this study focuses on Africa's readiness to integrate telemedicine into the weak health systems and its adoption may help alleviate poor healthcare and poverty after COVID-19. We conducted a narrative review through different search strategies in Scopus on January 20, 2021, to identify available literature reporting implementation of various telemedicine modes in Africa from January 1, 2011 to December 31, 2020. We summarized 54 studies according to geographies, field, and implementation methods. The results show a willingness to adopt telemedicine in the resource-poor settings and hard-to-reach populations, which will bring relief to the inadequate healthcare systems and alleviate poverty of those who feel the burden of healthcare cost the most. With adequate government financing, telemedicine promises to enhance the treating of communicable and non-communicable diseases as well as support health infrastructure. It can also alleviate poverty among vulnerable groups and hard-to-reach communities in Africa with adequate government financing. However, given the lack of funding in Africa, the challenges in implementing telemedicine require global and national strategies before it can yield promising results. This is especially true in regards to alleviating the multidimensionality of poverty in post-COVID-19 Africa.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.glohj.2021.07.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40469474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}